Provider Demographics
NPI:1588180079
Name:CAUDILL, EMILY (LSW)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:CAUDILL
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:
Other - Last Name:SAUNDERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:605 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MC ARTHUR
Mailing Address - State:OH
Mailing Address - Zip Code:45651-1070
Mailing Address - Country:US
Mailing Address - Phone:740-596-1117
Mailing Address - Fax:
Practice Address - Street 1:605 W MAIN ST
Practice Address - Street 2:
Practice Address - City:MC ARTHUR
Practice Address - State:OH
Practice Address - Zip Code:45651-1070
Practice Address - Country:US
Practice Address - Phone:740-596-1117
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-17
Last Update Date:2020-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker